| NPI | 1952357584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN D FORD Owner/Physician 208-773-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 05-0214) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-07-05 |